随意型皮瓣在面部软组织缺损美学修复中的应用

Aesthetic applications of random pattern skin flap in repair of facial soft tissue defects

目的探讨随意型皮瓣在修复面部软组织缺损中的美学效果。方法针对各种原因所致的面部软组织缺损，根据缺损部位所处的面部美学亚单位、缺损形态及缺损面积等设计随意型皮瓣，如旋转皮瓣、推进皮瓣、易位皮瓣、“风筝”皮瓣等，对36例患者进行修复。切口设计顺皮纹方向，切口无张力缝合。结果术后36例患者的皮瓣全部成活，切口均Ⅰ期愈合，切口瘢痕轻微，随访2～12个月，美学效果满意。结论应用随意型皮瓣修复面部软组织缺损，皮瓣质地柔软，色泽无明显差异，能最大限度地保留面部美观及功能。

Objective To discuss the effects of random pattern skin flap on the repair of facial soft tissue defects as well as its aesthetic applications. Methods In view of the facial soft tissue defects caused by various reasons, 36 cases of patients were repaired according to the defect location, size, design such as ＂the kite＂ flap, adjacent pediele flap or V-Y glide flaps. Results After operation, all flaps were survived; Incisions were healed at stage I; follow-up for 2 to 12 months, the cosmetic results were satisfactory. Conclusions The random pattern skin flap can be applied to repair facial soft tissue defects with aesthetic effects. The flap＇s texture and color have no obvious difference from normal skin; postoperative incision scar is slightly, and it can retains the facial appearance and function to the maximum limit.